Individual
DR. CHERYL A DEPETRO
Active
Individual
DR. CHERYL A DEPETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW-C, DAC, LAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09177
MD
171100000X
Acupuncturist
U01507
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149702200
—
MD
01
—
204657996
ATENA
—
01
—
228677
COMPSYCH
—
01
—
232401
APS
—
01
—
543427000
MAGELLAN
—
01
—
6527
BCBS FEDERAL AND BLUE CHO
—
01
—
QF72
BCBS OF MD & NATIONAL
—
Enumeration date
10/23/2006
Last updated
10/23/2024
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